Delayed diagnosis of extrapulmonary tuberculosis in a 32-year-old man with knee pain

A 32-year-old Bangladeshi male was admitted at our emergency department for trauma of the left knee. The radiographs showed absence of fracture, and presence of an indeterminate oval lucency in the proximal tibia. Further examinations were suggested, but the patient refused. 6 months later, the patient re-presented at our emergency department. A CT scan showed progression of musculoskeletal involvement and spread to the liver. This case underlines the importance of considering tuberculosis in the differential diagnosis of indeterminate bone lesions in immigrant patients

Computerised tomography and magnetic resonance imaging of laryngeal squamous cell carcinoma: A practical approach

Squamous cell carcinoma is the most common head and neck cancer. This review describes the state-of-the-art computerised tomography and magnetic resonance imaging protocols of the neck and the normal larynx anatomy, and provides a practical approach for the diagnosis and staging of laryngeal squamous cell carcinoma

Electrochemical remediation of phenol contaminated kaolin under low-strength electric fields

Soil degradation is a global concern. Electrochemical remediation (ER) technology is considered an appealing strategy for soil remediation because it is a low-cost, adaptable, and effective noninvasive in situ technology. Currently, the remediation of soil characterized by fine grains, low-hydraulic permeability, heterogeneous conditions, and mixtures of contaminants is still challenging since other conventional technologies are poorly effective. ER of soil is based on the application of low potentials between a couple of electrodes which induces an electric field (E) in the contaminated field. In this work, very low values of electric field (E ≤ 0.25 V cm−1) were used for the ER of contaminated kaolin. Phenol was selected as model hazardous organic compound and kaolin as model, reproducible and low buffering and low permeability clay. The effect of several factors, including the nature of the electrodes, treatment time, kind of current, the strength of the E and the nature of supporting electrolyte, on the performance of the process was investigated in detail and discussed in terms of the normalized phenol concentration and its total removal from the kaolin. Overall, the main finding is that the use of very low value of E (0.15 V cm−1) can allow to simultaneously desorb, mobilize and also in-situ degrade phenol. The highest removals of phenol up to approximately 80% and 90% from the kaolin under both direct and sinusoidal E, respectively, were reached using compact graphite as electrodes in presence of Na2SO4 into the kaolin

Electrochemical remediation of kaolin-soil contaminated by phenol: effect of several operative parameters

Electrochemical remediation technology is considered an appealing strategy for the remediation of fine- grained soils, characterized by a low hydraulic conductivity and large specific surface area, contaminated with inorganic, organic, and mixed pollutants. In both Electrokinetic (EK) and Electrochemical Geo-Oxidation (ECGO) technologies, an electric field is imposed on the contaminated soil to remove the pollutants by the combined mechanisms of electroosmosis, electromigration, and/or electrophoresis. Moreover, ECGO uses low voltage and both direct and alternating amperage (DC/AC) applied in a proprietary series to induce reduction-oxidation reactions on soil surfaces at the micro-scale. According to the literature, in this method, each soil particle acts as a micro-capacitor that charges and discharges in a cyclic fashion. The energy burst on discharge at the micro-scale is intense, theoretically allowing the conversion of most organic contaminants to carbon dioxide and water near the conducting particle surface [2-4]. However, the effectiveness of the technology strongly depends on the physical-chemical states of the soils and the contaminants, pH, sorption of contaminants on soil particle surfaces and different effects induced by the hydrogen ions and hydroxide ions generated at the electrodes. In this work, the effect of several factors, including the intensity and mode of the applied electric field, duration of treatment, nature of supporting electrolytes, on the electrochemical remediation of kaolin-soil contaminated by phenol (200 mgPhenol/kgsoil) was investigated. It was found that a proper selection of the operative parameters is the key- factor to improve the electrochemical remediation of the contaminated soil. High removal of phenol from the kaolin up to 88% was achieved after 93 hours of treatment using graphite electrodes and a gradient electric field of 0.15 V cm-1. [1] A. T. Yeung et al. J. Hazard. Mater. 2011, 195, 11 [2] D. Rahner et al. Electrochim. Acta 2002, 47, 1395 [3] J. Röhrs et al. Electrochim. Acta 2002, 47, 1405 [4] L.M. Zanko et al. Electrochim. Acta 2020, 354, 13669

Small solid renal masses: Characterization by diffusion-weighted MRI at 3 T

AIM: To describe the appearance of small solid renal lesions ( 643 cm) on diffusion-weighted magnetic resonance imaging (MRI) and to determine whether ADC measurements may help to differentiate benign from malignant small solid renal masses. METHODS AND MATERIALS: Thirty-five patients with 47 small renal masses (23 malignant, 24 benign) who underwent 3 T MRI of the kidney using diffusion-weighted sequences (b values of 0 and 1000 s/mm(2)) were retrospectively evaluated. Qualitative and quantitative analysis of diffusion-weighted images was performed. RESULTS: Most lesions were hyperintense to kidney on high b-value diffusion-weighted images and hypointense on apparent diffusion coefficient (ADC) map. The mean ADC of the lesions was significantly lower than that of kidney (1.22 \ub1 0.3 versus 1.85 \ub1 0.12 mm(2)/s; p < 0.005). The mean ADC was significantly different between renal cell carcinomas (1.2 \ub1 0.01 mm(2)/s), metastases (1.25 \ub1 0.04 mm(2)/s), angiomyolipoma (1.07 \ub1 0.3 mm(2)/s) and oncocytomas (1.56 \ub1 0.08 mm(2)/s; p < 0.05). The mean ADC of clear cell renal cell carcinomas was significantly different from that of non-clear cell renal cell carcinomas (1.38 \ub1 0.34 versus 0.83 \ub1 0.34 mm(2)/s; p < 0.005). No significant difference was found between mean ADC of fat containing and minimal fat angiomyolipomas (1.06 \ub1 0.48 versus 1.11 \ub1 0.33 mm(2)/s). CONCLUSION: Small solid renal masses are hyperintense on high b value and have different ADC values

Effect of the air pressure on electro-Fenton process

Electro-Fenton process is considered a very promising tool for the treatment of waste waters contaminated by organic pollutants refractant or toxic for microorganisms used in biological processes [1-6]. In these processes H2O2 is continuously supplied to an acidic aqueous solution contained in an electrolytic cell from the two-electron reduction of oxygen gas, directly injected as pure gas or bubbled air. Due to the poor solubility of O2 in aqueous solutions, two dimensional cheap graphite or carbon felt electrodes give quite slow generation of H2O2, thus resulting in a slow abatement of organics. In this context, we report here a series of studies [7-9] on the effect of air pressure on the electro-generation of H2O2 and the abatement of organic pollutants in water by electro-Fenton process. The effect of air pressure, current density, mixing and nature of the organic pollutant was evaluated. [1] E. Brillas, I. Sirés, M.A. Oturan, Chem. Rev., 109 (2009) 6570-6631. [2] C.A. Martínez-Huitle, M.A. Rodrigo, I. Sirés, O. Scialdone, Chem. Rev. 115 (2015) 13362–13407. [3] M. Panizza, G. Cerisola, Chem. Rev. 109 (2009) 6541–6569. [4] I. Sirés, E. Brillas, M.A. Oturan, M.A. Rodrigo, M. Panizza, Environ. Sci. Pollut. Res. 21 (2014) 8336–8367. [5] C.A. Martínez-Huitle, S. Ferro, Chem. Soc. Rev. 35 (2006) 1324–1340. [6] B.P.P. Chaplin, Environ. Sci. Process. Impacts. 16 (2014) 1182–1203. [7] O. Scialdone, A. Galia, C. Gattuso, S. Sabatino, B. Schiavo, Electrochim. Acta, 182 (2015) 775-780. [8] J.F. Pérez, A. Galia, M.A. Rodrigo, J. Llanos, S. Sabatino, C. Sáez, B. Schiavo, O. Scialdone, Electrochim. Acta, 248 (2017) 169-177. [9] A.H. Ltaïef, S. Sabatino, F. Proietto, A. Galia, O. Scialdone, O. 2018, Chemosphere, 202, 111-118

Successful intravenous immunoglobulin treatment for steroid-resistant eosinophilic enteritis in a patient with systemic lupus erythematosus.

Eosinophilic gastroenteritis is a rare condition of unknown etiology characterized by eosinophilic infiltration of the bowel. Corticosteroids are the mainstay of EG therapy. Although rare, steroid-resistant EG could be a life-threatening condition with tissue destructive evolution. Associations of eosinophilic gastroenteritis with systemic lupus erythematosus have rarely been reported. In this report we describe a case of successful IVIG treatment in a patient with systemic lupus erythematosus and steroid-refractory eosinophilic gastroenteritis

Imaging the COVID-19: A practical guide

The Coronavirus Disease 2019 (COVID-19) represents the first medical catastrophe of the new millennium. Although imaging is not a screening test for COVID-19, it plays a crucial role in evaluation and follow-up of COVID-19 patients. In this paper, we will review typical and atypical imaging findings of COVID-19

The Videofluorographic Swallowing Study in Rheumatologic Diseases: A Comprehensive Review

Autoimmune connective tissue diseases are a heterogeneous group of pathologies that affect about 10% of world population with chronic evolution in 20%-80%. Inflammation in autoimmune diseases may lead to serious damage to other organs including the gastrointestinal tract. Gastrointestinal tract involvement in these patients may also due to both a direct action of antibodies against organs and pharmacological therapies. Dysphagia is one of the most important symptom, and it is caused by failure of the swallowing function and may lead to aspiration pneumonia, malnutrition, dehydration, weight loss, and airway obstruction. The videofluorographic swallowing study is a key diagnostic tool in the detection of swallowing disorders, allowing to make an early diagnosis and to reduce the risk of gastrointestinal and pulmonary complications. This technique helps to identify both functional and structural anomalies of the anatomic chain involved in swallowing function. The aim of this review is to systematically analyze the basis of the pathological involvement of the swallowing function for each rheumatological disease and to show the main features of the videofluorographic study that may be encountered in these patients